| NPI | 1821484361 |
|---|---|
| Former Name | LARA RENEE INDIA ROSEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 66231) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: WI 66231) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2021-05-26 |